PROMED AMBULANCE, INC


Address: 9363 Jamison Ave, Unit A, Philadelphia, PA 19115-4278
Phone: 2157926892

PROMED AMBULANCE, INC (NPI# 1407156797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407156797
Entity Type Organization
Organization Name PROMED AMBULANCE, INC
Practice Address 9363 Jamison Ave
Unit A
Philadelphia
PA 19115-4278
Practice Telephone 2157926892
Practice Fax Number 2157741347
Mailing Telephone 2157926892
Mailing Fax Number 2157741347
Enumeration Date 2010-11-02
Last Update Date 2011-01-11
Authorized Official Name MR. ALEXANDER G KOPITKO (PRESIDENT)
Authorized Official Telephone 2157926892
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
PA Transportation Services

Office Location

Street Address 9363 JAMISON AVE
UNIT A
City PHILADELPHIA
State PA
Zip Code 19115-4278

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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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Competitor

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City PHILADELPHIA
Zip Code 19115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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